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Neuro Endocrinol Lett. 2017 Oct;38(5):311-315.

Gestational diabetes - is diet and insulin the only solution?

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Department of Endocrinology and Metabolic Diseases, Polish Mother's Memorial Hospital and Research Institute, Lodz, Poland.


Gestational diabetes (GDM) is a relatively common complication of pregnancy. Maternal hyperglycemia causes many serious side effects for mothers, fetuses and newborns. In 90% of women diagnosed with GDM, a dietary treatment results in satisfactory levels of blood glucose. The remaining 10% require insulin therapy to achieve the recommended glycemic levels. The majority of recent studies show the efficiency of metformin in gestational diabetes and prove that it is not a cause for any harmful side effects to the embryo and/or fetus. Metformin is an effective alternative to insulin in glycemic control in pregnant women. The implementation of metformin, as a routine procedure in gestational diabetes, requires further research, the results of which would unequivocally confirm its efficacy and safety for pregnant women and their offspring.

[Indexed for MEDLINE]

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